cms_GU: 4

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

This data as json, copyable

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
4 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2019-01-30 655 E 0 1 IS8311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to develop and implement baseline nursing care plans for 1 of 8 sampled residents (Resident 18). Failure to assess, develop, and implement baseline nursing care plans for Resident 18's history of smoking could subject the resident and other residents at risk for potential injury associated with smoking. Additionally, failure to assess, develop and implement a base line nursing care plan associated with the use of [MEDICATION NAME] could potentially lead to the failure to identify signs and symptoms of adverse effects associated with use of the anticoagulant. Findings include: 1. Resident 18 is a [AGE] year-old male who was admitted on [DATE] with a [DIAGNOSES REDACTED]. His social history shows he had a history of [REDACTED]. The records also reflect he had no desire to quit tobacco use. During the resident interview on 1/28/2019, the resident stated that while at the skilled nursing unit he had been smoking unsupervised in the designated smoking area, and that he maintained his own cigarettes and lighter. On 1/30/2019 during a concurrent record review and interview with a licensed nurse (LN2) she validated that the facility did not complete an assessment to determine if Resident 18 was safe with the use of his cigarettes. LN2 also validated the facility did not develop and implement a nursing care plan associated with Resident 18's cigarette use. On that same day the facility policy titled Skilled Nursing Unit (SNU) Smoking Policy was reviewed. The procedure within the policy had several items listed 1 through 24 and the relevant items state: #7 .Residents with authorization from their physician or licensed independent practitioner may be allowed to smoke in designated areas. #12 .Staff is responsible for ensuring that smoking by residents is done in a safe manner. #13 .Residents will be allowed to smoke and use smoking material only as specified in their care plan. 2. During further investigation with LN2, it was validated that Resident 18's physician had ordered [MEDICATION NAME] 5000 units twice a day and the medication was to be administered subcutaneously. The medication [MEDICATION NAME] can prolong the bleeding time. Potential negative outcomes associated with [MEDICATION NAME] use is bleeding within or from tissues of the body such as the gums, rectum, urine and etc. LN2 also validated that the facility failed to develop and implement a short term nursing care plan to help the nursing staff monitor and identify any potential adverse outcomes associated with the use of [MEDICATION NAME]. 2020-09-01